Organization
VILLAGE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIVE K FIELDS (PARTNER)
(713) 461-2915
Entity
Organization
Contact information
Practice address
9055 KATY FWY, SUITE 306, HOUSTON, TX 77024-1624
(713) 468-5009
(713) 468-4012
Mailing address
9235 KATY FWY STE 400, HOUSTON, TX 77024-1507
(713) 468-5009
(713) 468-4012
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G3784
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1971
TX
Other
Enumeration date
01/30/2006
Last updated
01/14/2019
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